OM 4 - Lec. 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Difference between Mood v. Affect | Mood - What the patient tells you how they feel
Affect - how the pts emotional state is perceived by you
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| MOOD DISORDERS to follow | .
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| Criteria for Dx of Major Depressive Episode ? | * 2 week period of either DEPRESSED MOOD or ANHEDONIA ( - pleasure) plus 5 of the following: wght loss, hyper/insomnia, psychomotor retard (slow mvt), low concentration, suicidal ideals
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| Mnemonic for Major Depressive Episode ? | D+SIGECAPS
D - depressed mood
S - sleep disturbance
I - interest decrease
G - guilt
E - energy diminished
C - concentration low
A - appetite change
P - psychomotor low/higher
S - suicidal
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| Criteria for Dx of Manic Episode ? | *elevated/expansive or irritable mood for 1 week
*see impairment
*3 of the following: grandiosity, low sleep, highly talkative, race of thoughts, high psychomotor/goal, involvement in high risk behaviors (sex/drugs/gambling/etc.)
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| Mnemonic for Manic Episode? | DIGFAST
D - distractibility
I - insomnia
G - grandiosity
F - flight of ideas (lots of thoughts)
A - activities (increased goal actions)
S - speech (high talkative)
T - thoughtlessness (risky behavior)
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| Criteria to Dx a Hypomanic Episode ? | * same as Manic, but for only 4 days
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| Differences between Manic and Hypomanic ? | **Manic is atleast 1 wk and see impairments in functioning
**Hypomanic is atleast 4 days, but not over 7, and NO impairments seen at all
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| DEPRESSIVE DISORDERS to follow | .
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| Disruptive Mood Dysregulation Disorder basics? | *kids 6-18
*out of proportion temper tantrums/outbursts 3 or more x a week
*higher in males
*difficult to distinguish from bipolar
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| Major Depressive Disorder Dx ? | * 1 or more Major Depressive Episodes
*NO manic, hypomanic, or mixed epidodes
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| MDD usual age of onset ? | * 18-29 y/o (mid-20's)
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| MDD Risk and Prognostic factors ? | * temperamental - neuroticism (negative affectivity)
* environmental - stressful/bad life experiences
* genetic -1 deg. relatives
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| Persistent Depressive Disorder (Dysthymia) Clinical Dx ? | * depressed mood more days than not depressed for atleast 2 years
* can have MDD at same time
* NEVER manic/hypomanic episode
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| Risk and Prognostic factors ? | * childhood risk w/ parent loss/separation
*can be genetic
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| Premenstrual Dysphoric Disorder clinical Dx ? | * in majority of menstrual cycles, 5 symptoms present in week before, improves within onset of cycle, and absent/minimal postmens. week
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| Can help ? | oral contraceptives
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| BIPOLAR & RELATED DISORDERS to follow | .
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| Bipolar I Disorder Dx ? | * MUST have a manic episode
*can remain at manic state, drop to hypomanic state, or cycle to the depression state
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| Bipolar II Disorder Dx ? | * MUST have 1 hypomanic episode + 1 major depression episode
* NO manic or mixed episodes
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| Risk that is higher in bipolar I than bipolar II, but is high in both ? | * suicide risk
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| Cyclothymic Disorder Dx ? | * 2 years a numerous hypomanic episodes and major depression episode that do not fully meet the criteria of either episode
*episodes present in over half the 2 years and not been symptom free for over 2 months at a time
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| Course of Bipolar I, II, and MDE ? | * I - stay at manic level or cycle to depressed state and back
* II - never reaches the manic state, but same as BP-I
* MDE - long periods of depression, with no manic/hypomanic episodes
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| Adjustment Disorder with Depressed Mood Dx ? | * depressive state begins within 3 months of a new stressor (school, job, moving, etc.)
* causes dysfunction in occupational or social issues
* symptoms do not last longer than 6 months after stressor is terminated
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| List the Unipolar Mood Disorders ? | * Disruptive Mood Dysregulation Disorder
* Major Depression Disorder
* Persistent Depression Disorder
* Premenstrual Dysphoric Disorder
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| List the Bipolar Mood Disorders ? | * Bipolar I
* Bipolar II
* Cyclothymic
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| Stable and Mild disorders ? | * persistent depressive disorder
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| Stable and Severe disorders ? | * Major Depressive Disorder
* Premenstrual Dysphoric Disorder
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| Alternating and Mild disorders ? | * Cyclothymic Disorder
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| Alternating and Severe disorders ? | * Bipolar I
* Bipolar II
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